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Licensing details for: 10118

Name: GILL AND GHAZAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2041 Bronze Star Dr
STE. 100
WOODLAND CA 95776-5427
YOLO county
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Issuance Date

February 17, 2010

Expiration Date

January 31, 2019

Current Date / Time

December 15, 2025
12:43:57 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: GHAZAL, CAROLYN G

License/Registration Type: Dentist License

License Number: 38682 Primary Status: Current - Active

Address :
10797 FOOTHILL BLVD
RANCHO CUCAMONGA CA 91730
SAN BERNARDINO COUNTY

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